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呼吸重症监护病房2008~2011年鲍曼不动杆菌的耐药性变迁及同源性分析

谭湘淑 韩新鹏 葛淑华

西安交通大学学报(医学版)2013,Vol.34Issue(3):371-374,4.
西安交通大学学报(医学版)2013,Vol.34Issue(3):371-374,4.

呼吸重症监护病房2008~2011年鲍曼不动杆菌的耐药性变迁及同源性分析

Antibiotic resistance of Acinetobacter baumannii isolated from respiratory ICU between 2008 and 2011 and analysis of their homogeneity

谭湘淑 1韩新鹏 2葛淑华2

作者信息

  • 1. 西安交通大学医院,陕西西安710048
  • 2. 第四军医大学第一附属医院呼吸内科,陕西西安710032
  • 折叠

摘要

Abstract

Objective To monitor the drug-resistance trend of non-repetitive Acinetobacter baumannii isolated clinically from respiratory intensive care unit (RICU) and analyze their homogeneity. Methods We collected non-repetitive Acinetobacter baumannii isolated clinically from RICU between 2008 and 2011, test drug-resistance rate by K-B paper disk diffusion, and analyzed homogeneous genotype with ERIC-PCR. Results ① Totally 232 strains of non-repetitive Acinetobacter baumannii were isolated from RICU between 2008 and 2011. The main source of strains was sputum, accounting for 89. 66%. ② Drug-resistance rate had an increasing trend except for minocycline. Resistance rate to carbapenem antibiotics was over 85%. ③ There were 5 genotypes among the 232 strains of Acinetobacter baumannii: type A (45 strains), type B (61 strains), type C (79strains), type D (32 strains), and type E (15 strains). Conclusion Acinetobacter baumannii isolated from RICU have a higher drug-resistance rate and a genotype homogeneity, suggesting the horizontal transfer of drug-resistance genotypes.

关键词

呼吸ICU/鲍曼不动杆菌/耐药率/肠杆菌科基因间重复序列聚合酶链反应

Key words

respiratory ICU (RICU)/ Acinetobacter baumannii/ drug-resistance rate/ ERIC-PCR

分类

医药卫生

引用本文复制引用

谭湘淑,韩新鹏,葛淑华..呼吸重症监护病房2008~2011年鲍曼不动杆菌的耐药性变迁及同源性分析[J].西安交通大学学报(医学版),2013,34(3):371-374,4.

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